HomeMy WebLinkAbout19-21186 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2
BUILDING PERMIT
RERMIT INFORMATION .'LOCATION INFORMATION
Permit Number: 21186 Address: 5737 18TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08000-0010
Improv. Cost: 62,856.00 OWNER INFORMATION
Date Issued: 5/06/2019 Name: TROYER, DARVIN TRST &TRSTEE
Total Fees: 802.50 Address: 13327 CARNOUSTIE CIR
Amount Paid: 802.50 DADE CITY, FL 33525-2710
Date Paid: 5/06/2019 Pho e: 813-220-6915
Work Desc: REMODEL 768 SQ FT W/UPGRADES S
CONTRACTORS APPLICATION FEES
KERNS FAMILY CONSTRUCTION CO BUILDING FEE 532.50
REESE ELECTRICAL INC ELECTRICAL FEE 67.50
JACKSON PLUMBING INC PLUMBING FEE 67.50
CHRIS' A/C COMPANY MECHANICAL FEE 67.50
THE ROOFING COMPANY REROOF RESIDENTIAL 67.50
Ins6pections Required
FOOTER 2ND ROUGH PLUMB I INSULATION EILI G
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
&__ 64q�
O RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7e0-0020 City of Zephyrhills Permit Application Fax-813-78o-0021
Building Department
'Date Received Phone Contact for Permitting 813 1 294 5158
Wwar . myen Trusteeofthe DaryinW.Tmyer Revocable TnstVrD6-2404&
Owner's Name Ruth Am Troyer,Tnrsteeof the Ruth Ann Troyer R—bleTrstUM6-24-04 Owner Phone Number e11.10.115
Owner's Address 1 13327 Camousfie Cirde Dade City,FL 33525 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5737 18th St. LOT# 1-3
SUBDIVISION City ofZephyrhillS PARCEL ID# 11-26-21-0010-08000-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT r_Vo� SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL =
reroot/new rooUtrusses on addition,new hvac,update electrical,update plumbing,remodel bathroom,kitchen,addition of
DESCRIPTION OF WORK mastersue,dining,WunlyandcarportAdditionofapprox624sfofheatedsf&288sfofcarporLExistingmrpodbecomeslivingarea.
BUILDINGSIZE 32X24p1us26x24 SQFOOTAGE 768 HEIGHT
EVIBUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ i` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFIN SPECIALTY = OTHER
FINISHED FLOOR ELE S FLOOD ZONE AREA =YES P10 ✓ }
BUIL R ^ 2 f COMPANY Kerns Family Construction Company,Inc.
SIGNATURE REGISTERED I Y/ N FEE CUR I, I Y/N
Address 1 27 P cl Tr ' eo sville FL1�33j4�l61 License# I CBC1255980
ELECTRICIAN \4�OMPANY eese Electrical,Inc.
SIGNATURE 1 REGISTERED Y/N FEE CURREn Y/N
Add r s PO Box 8 2 e h chills FL 33539-0867 License# F EC13001353
PLUMBER CQ Q ( COMPANY Jackson Plumbin ,InC.
SIGNATURE �`—' REGISTERED Y/ N FEE CURREI,
Address PO Box 2660 Land O Lakes,FL 34639-2660 License# CFF+ `C142668�85
MECHANICAL I EOMPANY C ^/S /CC e
SIGNATURE 47 REGISTERED I Y/ N FEE CURREn I Y/N Q
Address =1 License# —QA&**PffW
OTHER COMPANY The Roofing Company of Tampa Bay,Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N
Address 5635 SR 54 New Port Richey FL 34652 License# CCC1328373
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
I Building Department
i
Date Received Phone Contact for Permittingg 813 294 _ 5158
11 1 1 1 1 1 1 I I I i l
Dmn W Tequ,Truce.or t1ro Darcot W.Troyer Revoesee trust UtU 6.2a47 8
Owner's Name Rule AmTmyer,Trustee oftheRMAmTrgerR—beTn"UID62sda Owner Phone Number 813.220.6915
Owner's Address 1 13327 Camoustie Circle Dade City,FL 33525 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5737 18th St. LOT# 1-3
SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-08000-0010
(OBTAI
NED FROM PROPERTY TAX NOTICE)
'WORK PROPOSED NEW CONSTR e ADWALT SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
renro6new rootgres on add"don,new twat,update electrical,update plumbing,remodel batiumm,kitchen.addition of
DESCRIPTION OF WORK ^as er suds,dmmg.laundry and export Add of appros 6241f of heated sf a 2666f of tarpon.15-ting wrpon be--Wing ar
BUILDING SIZE 32x24 plus 26x24 SO FOOTAGE 768 HEIGHT
BUILDING S VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING is
=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=GAS Gz ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY Kerns Family Construction Company,Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREh Y/N
Address 11927 Pasco Trails Blvd.Brooksville FL 34610 License# r CBC1255980
ELECTRICIAN COMPANY Reese Electrical,Inc.
SIGNATURE I REGISTERED I Y/ N FEE CURREN LI.LN
Address PO Box 862 Ze h chills FL 33539-0867 License# I EC13001353
PLUMBER COMPANY Jackson Plumbing,Inc.
SIGNATURE sk—�' REGISTERED I Y/ N FEE CURREh I Y/N
Address PO Box 2660 Land 0 Lak s,FL 34639-2660 License# I CFC1426885
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y I N FEE CURREr Y/N
Address I License# CAC1817578
OTHER COMPANY The Roofing Company of Tampa Bay,Inc.
SIGNATURE REGISTERED I Y/N FEE CURREr. I Y I N
Address 6635 SR 54 New Port Richey FL 34652 License# I CCC 1328373
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Sill Fence installed,
Sanitary Facilities&t dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Dlm tjont e
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$250U,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotiSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
Fee Simple Titleholder Name I I Owner Phone Number I I
Fee Simple Titleholder Address
JOB ADDRESS 5737 18th St. LOT# 1-3
SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-08000=0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT FV�l SIGN E = DEMOLISH
INSTALL e REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION [�] BLOCK Q FRAME = STEEL 0
rerool/new roof/trusses on addition,new hvaG update electrical,update plumbing,remodel bathroom,k tchen,addition of
DESCRIPTION OF WORK master suite,dining,laundry and carport Addition of spprox 624sf of heated sf&288sf of carport.Existing carport becomes living area.
BUILDING SIZE 32x24 plus 26x24 SQ FOOTAGE 768 HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Gz ROOFING Q SPECIALTY u OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
■ ■ _�__._._ _ A-._.. ._ ._ . ._ A ._._. UJI_JIJ . .-11-L-.JI-
BUILDER COMPANY F Kerns Family Construction Company,Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 11927 Pasco Trails Blvd. Brooksville FL 34610 License# I CBC1255980
ELECTRICIAN COMPANY Reese Electrical, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address PO Box 862 Ze h chills FL 33539-0867 License# I EC13001353
PLUMBER _ COMPANY Jackson Plumbing, Inc.
SIGNATURE I REGISTERED Y/ N J FEE CURREN Y/N
Address PO BOX 2660 Land O Lakes, FL 34639-2660 License# CFC1426885
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# CAC1817578
OTHER COMPANY The Roofing Company of Tampa Bay, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 5635 SR 54 New Port Richey FL 34652 License# I CCC1328373
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . ._. . . . . . . .
Directions:
Fill out application completely.
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 11 813 294 _ 5158
1 1 1 1 1 1 1 1 1 1 1 1 1
DaMn w:Troyer,T-"of d"Dardn w.Torer Reearaeo Trost UTD 62d-W 8
Owners Name RuNM Tmym,TwstecofpnR,1,M TmWRewmbicT !UMr,24-0a Owner Phone Number 813220.6915
Owner's Address 13327 Camoustle Circle Dade City,FL 33525 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5737 18th St. LOT# 1-3
SUBDIVISION City ofZephyrhills PARCELID# 11-26-21-0010-08000-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR a ADDIALT SIGN = _ DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
rofaoflrlQw roo118ussfa on addition.new Iraq update elaMwl.update plumbmg remodel bathroom,Idtct e.addition of
DESCRIPTION OF WORK roaRg •dvwtg.laundry and carport'AddAgn of approx 624sf of heated sf 8.28asr of carport.Edsting carport becomes living area,
BUILDING SIZE 32X24 PIUS 26x24 SO FOOTAGE 768 HEIGHT i
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING s
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS SZ ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY Kems Family Construction Company,Inc.
SIGNATURE REGISTERED I Y/N FEE CURREP L Y I N
Address 11927 Pasco Trails Blvd.Brooksville FL 34610 License# CBC1255980
ELECTRICIAN COMPANY Reese Electrical,Inc.
SIGNATURE REGISTERED I Y/N FEE CURREI, I Y/N
Address PO Box 862 Ze h chills FL 33539-0867 1 License# I EC13001353
PLUMBER COMPANY _Jackson Plumbin ,Inc.
SIGNATURE REGISTERED Y/N FEE CURREI Y/N
Address PO Box 2660 Land 0 Lakes,FL 34639-2660 License lt I CFC1426885
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREh I Y/N
Address License# I CAC1817578
OTHER ,:COMPANY The Roofing Company of Tampa Bay,Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREh I Y/N
Address 5635 SR 54 New Port Richey FL 34652 License# I CCC1328373
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I III I III I I I I I I I I I III I I i l l l l
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivistonsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
U over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �--�
Date Received:
Site:
Permit Type:
Approved Who comments:❑ Approved w/the below comments: Denied w/the below comments: 17
This comment sheet shall be kept with the permit 7an r plans.
MAY a f 20�g IV, '''l
Kalbin Swi Plans Examiner Date ontr ctor and/or Homeowner
uired when comments are present)
V
INSTR#20190724'CG OR BK 989�G L86 2 Page 1 of 1
04/30/2019 02:08 PM Rcpt:2050250 Rec: 10.00 IDS:0.00 IT:0.00
Pa'tila S. O'XeiC, PER, Pasco County CCer� P ConlptroCCer
Peril No. Parcel ID No
NOTICE OF COMMENCEMENT
r� Stateof FLORIDA County of PASCO
\/ THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement
1. Description of Property:Parcel Identification No. 11-26-21-0010-08000-0010
Street Address: 5737 18TH ST.ZEPHYRHILLS FL 33542
2. General Desrr ption of Improvement
rerooflnew ro =sses on addition,new vac,u ate e ca,update p um Intl,remodel room, en,addition o
master suite,dining,laundry and carport Ad81 of approx 624sf of heated sf a 288sf of carport.Existing carport becomes living area.
3. Owner Information or Lessee Information if the Lessee contracted for the Improvement:
D—In W.Troyer,Tructae of the D-1.W.Troyer R—blo Tent UM e-24-04&Ruth Ann Troyer,Tnntet of the Ruth Ann Troyaf Re—able Trust UM&24-04
Name Dade City,FL 33525
13327 Cernoustb Cncle
Address Ciry State
Interest in Property: Fee Simple
I
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address City State
4. Contractor. Ke—Farrdy ConstuhAoncompanytnc
Name
11927 PASCO TRAILS BLVD.BROOKSVILLE FL M10
Address City State
Contractor's Telephone No.: 813-996-0772
5. Surety:
Name
Address City Stale
Amount of Bond:$ Telephone No.:
6. Lender.
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Seclon 713.13(1)(a)(7),Florida Statutes:
Name
Q W
Address City State W W LL
Telephone Number of Designated Person: (D= LL-
O J
S. In addition to himself,the owner designates o1_ U co F
to receive a copy of the Lienor•s Notice as provided In Section 713.13(1)(b),Florida Statutes, M W Q H W N u
Telephone Number of Person or Entity Designated by Owner. ® Q' W Z 0
p
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the LL F—Q ¢i O
contractor,but will be one year from the date of recording unless a different date Is specified): a = U O
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT = W � 06
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713A3, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
)_ a o x
It
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT UO it U W
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. X 0 0 z W
.Under penalty of perjury,I declare that 1 have read the foregoing notice of commencement and that the fads slated therein are true to the best _® } U coof my knowledge and belief. F- W Z O' J [
STATE OF FLORIDA v IZ Le LL Z Q W
COUNTY OF PASCO —J U 0 O } z
Signature of Owner or Lessee,or Owner's Lessee's Authorized 4- Cf O
O^trnceUDlrectoAPartner/Manager LL.d Q t^1 Cf U
1�.1 YVrt Y1P/1� Lt! c a Qz J w
C/ Sill tOrya Tmelot5ce '�,, t�/ --� e� cn� LL z
The foregoing instrument was aclutow ledged before me this day of (/ 20llnY!.by;l ),& LA1 /�6 O ` }
as (type of authority,e.g.,officer,trustee,ago ey In fad)for n m
( �ef party on lief gtwhom I ent was executed). �!" .
31
Personally Known❑0 Produced Identi�ficaflon,o Notary SignaWre �A� �� e .
Type of Identification Produc d FL•.!t Ni L49.'3 C; A-\P Name(Print) Jac uej PIt 7�
JACQUELINE B 'T a O C
CMV*CC,,�}}.�,,__Dam*
#G`_G 2764y5�7t
: Pj7 �VkM W W�I1*12,
wpdalaRxWnoticecommencementpc053048 �, Th TOY Fab
CITY OF " NOTICE / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D ® • - OVE
ADDRESS DAT PERMIT,#
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
('aa�JL A
o cjob7,�s Lo 7, W
.Z
U1U___. C 1 c lcL�UPr��,
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI.
INSPECTOR�TTLQ `�
"813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received r Permitting
Phone Contact fo
Owner's Name 111 ITTTrM ...........rrrrrrrri Ow I nor Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address F_
JOB ADDRESS F LOT# C�---^�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADDIALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q Comm OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS IQ ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1 a 1 1 2 1 1 2 2 1 a 1 1 1 1 a 1 1 2 2 1 1 1 1 1 2 6 1 2 1 1 1 1 1 2 1 2 2 1 2 1 1 1 2 1 1 2 1 1 1 1 1 1 1 1 N I I I a 1 N 1 1 1 1 1 1 1 N I I I I 1 1 1 1 1 1 1 1 1 1 1 5 1 1 N 1 2 1 1 a a
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN . LYLN_j
Address License#
PLUMBER COMPANY
-SIGNATURE REGISTERED Y/ N FEE CURREN [_LLN J
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED L_X1 N_J FEE CURREN Y/N
Address License#
OTHER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F_ -
HHHH! HHHHHHHHHHHHi
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&-l-dumpsterZite-Work-Permit-for subdivisions/large projects_
COMMERCIALAttach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-07W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SlIt'Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions: ------
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AJC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter frdM,,owner;4;aUthorizIng samer.
..,
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
whichmay be-more restrictive th_an_County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTbRS 'AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07;as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are.due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise-in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone'Ar unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used'in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, l certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 7.03)
OWNER OR AGE T CONTRACTOR _
Sticgbe ands to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by _ by
W o is/ a persona y known to me or has/h4b produced Who is/are personally known to me or has/have produced
Jcfr l as identification. as identification.
r... &05 Notary Public Notary Public
Corn iss' n olCommission No.
"=Commission GG 276467
Name of Nota �cp1f87;t96tJep�per 12,2022 Name of Notary typed,printed or stamped
�•oF;k°°' Bonged TWyFa%Iwuranw80W5.7019a
i
CITY OF ZEPHYRHILLS
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
CERTIFICATE OF OCCUPANCY
Address: 5737 18TH ST Owner: TROYER, DARVIN TRST &TRSTEE
ZEPHYRHILLS, FL. 13327 CARNOUSTIE CIR
Subdiv: CITY OF ZEPHYRHILLS DADE CITY, FL 33525-2710
Parcel: 11-26-21-0010-08000-0010 Work Type: 434-ADD/ALT RESIDENTIAL
Construction Type: NOT APPLICABLE ❑ Sprinklers
Use Classification: NOT APPLICABLE
Permit Number: 21186
Date: 9/25/2019
!L�
ISSUED Y: BUILDI OFFICIAL :
WATER MUST BE CHANGED OVER WITHIN 10 DAYS OF ISSUANCE
GARBAGE DEPOSIT MUST BE APPLIED FOR PRIOR TO ISSUANCE